TONIA HOLLEY (NPI# 1164727269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164727269 |
| Entity Type | Individual |
| Full Name | TONIA HOLLEY |
| Credential | NP |
| Practice Address |
1122 E Main St Suite 4 Philadelphia MS 39350-2348 |
| Mailing Address |
213 Hospital Rd E Philadelphia MS 39350-2119 |
| Practice Telephone | 6016561001 |
| Practice Fax Number | 6016567555 |
| Mailing Telephone | 6016631269 |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R823713 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | LICENSE | R823713 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1122 E Main St, Suite 4, Philadelphia, MS 393502348 | 6016561001 | 6016567555 |
| 110 Park St, Walnut Grove, MS 391896526 | 6012530173 | 6012530176 |
| 1100 Highway 16 E, Carthage, MS 390514222 | 6012671470 | 6012671469 |
| Street Address |
1122 E MAIN ST SUITE 4 |
| City | PHILADELPHIA |
| State | MS |
| Zip Code | 39350-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639157829 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1122 E Main St, Philadelphia, MS 39350-2329 | 2006-01-06 |
| 1790173599 | Rachel Richardson | Nurse Practitioner | 1122 E Main St, Suite 4, Philadelphia, MS 39350-2348 | 2014-12-31 |
| 1801082409 | Heather Cannon | Family Medicine | 1122 E Main St, Suite 4, Philadelphia, MS 39350-2348 | 2007-09-18 |
| 1275621211 | Neshoba County General Hospital | Clinic/Center | 1122 E Main St, Suite 4, Philadelphia, MS 39350-2348 | 2006-10-11 |
| 1366541872 | Julia E Riley | Pediatrics | 1122 E Main St, Neshoba Pediatrics Suite 6, Philadelphia, MS 39350-2348 | 2006-09-21 |
| 1871522797 | Hilton M Fairchild | Family Medicine | 1122 E Main St, Suite 4, Philadelphia, MS 39350-2348 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548817133 | Airpark Family Dentistry | Dentist | 1060 Holland Avenue, Philadelphia, MS 39350 | 2019-08-20 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1144759580 | Mapp Home Care Services | In Home Supportive Care | 41 Eastover Dr, Philadelphia, MS 39350 | 2017-06-08 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1114339405 | Bernard Oneal | Adult Companion | 10090 Rd 0022, None, Philadelphia, MS 39350 | 2014-05-21 |
| 1417213323 | Region Ten Commision On Mental Health | Clinic/Center | 1011 Posey Avenue, Philadelphia, MS 39350 | 2012-04-04 |
| 1851427132 | Performance Therapy LLC | Physical Therapist | Performance Therapy, LLC, 921 W Beacon Street, Philadelphia, MS 39350 | 2007-02-23 |
| 1922161900 | Ernest Barton Cross | Audiologist | 1120 East Main Street, Suite 4, Philadelphia, MS 39350 | 2006-12-19 |
| 1649348129 | Augustus P Soriano | Family Medicine | 517 Center Avenue, Philadelphia, MS 39350 | 2006-12-01 |
| 1982777983 | Bill G Molpus | Dentist | 247 Byrd Ave, Philadelphia, MS 39350 | 2006-11-16 |
| Find all providers in zip 39350 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454051 | Violet Anderson | Nurse Practitioner | 2338 S Broad St, Philadelphia, PA 19145-4450 | 2020-10-15 |
| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1467083063 | Tara Lynne Weaver | Nurse Practitioner | 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 | 2020-02-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 39350 |
Please comment or provide details below to improve the information on TONIA HOLLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.